Is M87.1 a billable ICD-10-CM code?

No. M87.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M87.1 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).

M87.1

M87.1 — Osteonecrosis due to drugs

Non-billable headerICD-10-CM

M87.1 is a non-billable header ICD-10-CM code for osteonecrosis due to drugs. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Risk adjustment

M87.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M87.1

10 child codes. Green means billable.

Related codes at this level

Codes that share M87. If M87.1 is not quite right, the correct code is usually one of these.

Questions about M87.1

Is M87.1 a billable ICD-10-CM code?: No. M87.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M87.1 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).